阿米特利普提林用于耐火性异常性吸收性:一个案例报告
Danial Chowdhury1,2, Caitlin McCarthy1,3, M Thomas Bateman1,3
1Department of Pharmacy Practice and Administration, Ernest Mario School of Pharmacy, Rutgers, The State University of New Jersey, Piscataway.
Clinical neuropharmacology
|December 5, 2025
概括
这项案例研究表明,阿米特利普提林可以缓解难治的打,这是一种使人衰弱的疾病. 它突出了阿米三林的作用.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
背景情况:
- 持续超过一个月的吸收性打会对患者的生活质量产生重大影响.
- 有限的证据和治疗指导方针使得难治性打的管理具有挑战性.
研究的目的:
- 为了呈现一种耐火性异常性难治性抽刺病例,用阿米丁治疗.
- 为了提供额外的证据,证明阿米特利普提林在治疗难以治愈的打时的有效性.
主要方法:
- 一个53岁的男性的病例报告,患有耐火性异常性难治性打.
- 使用关键词"hiccup"或"singultus"和"amitriptyline"进行Medline和PubMed的系统文献综述.
- 分析患者的电子健康记录和直接护理经验.
主要成果:
- 在文献搜索中,发现了4个独特的难以治愈的打病例,这些病例对阿米特利普提林有反应.
- 报告的患者在添加阿米特利普提林后,经历了改善的打缓解.
- 审查的病例中的所有患者都先前尝试过多种药物.
结论:
- 这项研究为阿米特利普提林在难以治愈的打缓解方面提供了新的证据,这是30多年来首次.
- 阿米特里普提林对于患有并发性情绪障碍或疑似精神性打的患者来说可能特别有益.
- 需要进一步的研究来确定阿米特利普提林在治疗难以治愈的打症中的作用.
相关概念视频
Drugs Affecting GI Tract Motility: Serotonin Receptor Agonists
Serotonin, a crucial neurotransmitter synthesized by enterochromaffin cells, plays a cardinal role in regulating gastrointestinal (GI) motility. With over 90% of the body's total serotonin in the GI tract, its influence on digestive processes is profound. Serotonin is swiftly released upon various stimuli, such as food boluses or certain drugs, triggering intrinsic sensory neurons in the myenteric plexus and extrinsic vagal and spinal sensory neurons. This leads to the activation of the...
Drugs for Treatment of Diarrhea-Predominant IBS
Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Drugs for Treatment of Constipation-Predominant IBS
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...


